Individual provider · Type 1 NPI

Kellie M. Kotwicki, MS, BCBA, LBA

Behavior Analyst · Queen Creek, AZ

NPI number 1104285485 Active

Practice location

18521 E Queen Creek Rd., Suite 105-627
Queen Creek, AZ 85142

Fax (480) 814-7488

Mailing address

18521 E Queen Creek Rd, Suite 105-627
Queen Creek, AZ 85142

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-15-20121 (AZ)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1104285485

Kellie M. Kotwicki, MS, BCBA, LBA's National Provider Identifier is 1104285485, issued on Feb 16, 2016. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Queen Creek, AZ. The record was last updated on Feb 16, 2016.